LINDENWOOD UNIVERSITY-BELLEVILLE SPORTS MEDICINE
NPI 1316499155
Orthopaedic Surgery - Sports Medicine in Belleville, IL

NPI Status: Active since October 27, 2016

Contact Information

2600 W MAIN ST
BELLEVILLE, IL
ZIP 62226
Phone: (972) 367-4845

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Orthopaedic Surgery
Sports Medicine

About LINDENWOOD UNIVERSITY-BELLEVILLE SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Lindenwood University-belleville Sports Medicine, a provider established in Belleville, Illinois operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1316499155 assigned on October 2016. The practitioner's primary taxonomy code is 207XX0005X with license number 036129925 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. Lindenwood University-belleville Sports Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lindenwood University-belleville Sports Medicine. The authorized official of this NPI record is Mouzon Bass Iii (Agent)

NPI: 1316499155
Provider Legal Name: LINDENWOOD UNIVERSITY-BELLEVILLE
Other Organization Name: LINDENWOOD UNIVERSITY-BELLEVILLE SPORTS MEDICINE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2600 W MAIN ST BELLEVILLE, IL 62226
Location Phone: (972) 367-4845
Mailing Address: 5050 SPRING VALLEY RD. DALLAS, TX 75244
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-27-2016
Last Update Date: 10-27-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Orthopaedic Surgery Sports Medicine
Taxonomy Code: 207XX0005X
Type: Allopathic & Osteopathic Physicians
License No.: 036129925
License State: IL
Taxonomy Description: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MOUZON BASS III
Authorized Official Title: AGENT
Authorized Official Phone: (972) 367-4845

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316499155, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 8 + 9 + 1 + 8 + 1 + 1 + 0 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1316499155.